Heinemann, Stephanie

[["dc.bibliographiccitation.firstpage","e121"],["dc.bibliographiccitation.issue","13"],["dc.bibliographiccitation.journal","Deutsche medizinische Wochenschrift"],["dc.bibliographiccitation.lastpage","e126"],["dc.bibliographiccitation.volume","141"],["dc.contributor.author","Weiß, V."],["dc.contributor.author","Heinemann, Stephanie"],["dc.contributor.author","Himmel, Wolfgang"],["dc.contributor.author","Nau, R."],["dc.contributor.author","Hummers-Pradier, Eva"],["dc.date.accessioned","2021-08-26T13:16:49Z"],["dc.date.available","2021-08-26T13:16:49Z"],["dc.date.issued","2016-07"],["dc.description.abstract","Aim "],["dc.identifier.doi","10.1055/s-0042-102618"],["dc.identifier.pmid","27359319"],["dc.identifier.uri","https://resolver.sub.uni-goettingen.de/purl?gro-2/88837"],["dc.language.iso","other"],["dc.relation.eissn","1439-4413"],["dc.relation.issn","0012-0472"],["dc.relation.orgunit","Institut für Allgemeinmedizin"],["dc.title","Benzodiazepine und Z-Substanzen als Schlaf- und Beruhigungsmittel in einem Krankenhaus"],["dc.title.alternative","The use of benzodiazepines and Z-drugs for patients with sleeping problems - A survey among hospital doctors and nurses"],["dc.title.subtitle","Anwendung aus der Sicht des ärztlichen und pflegerischen Personals"],["dc.type","journal_article"],["dc.type.internalPublication","yes"],["dc.type.subtype","original_ja"],["dspace.entity.type","Publication"]]

[["dc.bibliographiccitation.firstpage","ejhpharm-2021-003097"],["dc.bibliographiccitation.journal","European Journal of Hospital Pharmacy"],["dc.bibliographiccitation.volume","Online ahead of print"],["dc.contributor.author","Klemperer, Jonas"],["dc.contributor.author","Himmel, Wolfgang"],["dc.contributor.author","Heinemann, Stephanie"],["dc.contributor.author","Hummers, Eva"],["dc.contributor.author","Nau, Roland"],["dc.creator.author","Stephanie Heinemann"],["dc.creator.author","Jonas Klemperer"],["dc.creator.author","Eva Hummers"],["dc.creator.author","Roland Nau"],["dc.creator.author","Wolfgang Himmel"],["dc.date.accessioned","2022-11-29T10:10:56Z"],["dc.date.available","2022-11-29T10:10:56Z"],["dc.date.issued","2022"],["dc.description.abstract","Objectives: Many patients receive benzodiazepines or Z-drugs during hospitalisation due to sleeping problems. In a pilot study, we aimed to find out whether, and to what degree, a multi-faceted intervention can reduce the use of these drugs, especially in older patients and those without a psychiatric or neurological disorder. The results of this pilot study should inform the design of a randomised controlled trial (RCT).\r\n\r\nMethods: In a quasi-experimental design, we implemented the intervention in a German hospital with the support of the hospital director, medical and nursing staff and employee representatives. We compared prescription data for sleep-inducing drugs before and after the intervention by Fisher's exact test and used odds ratios (ORs) with their 95% CIs as a measure of effect size.\r\n\r\nResults: The data from 960 patients aged ≥65 years before intervention and 1049 patients after intervention were analysed. Before intervention, 483 (50.3%) of the patients received sleep-inducing drugs at some time during their hospital stay. After the intervention, 381 (36.3%) patients received a sleep-inducing drug, resulting in an OR of 0.56 (95% CI 0.47 to 0.68) (p<0.001). The reduction was particularly pronounced in patients without a psychiatric or neurological disorder (from 45.0% to 28.8%). In particular, the consumption of benzodiazepines declined from 24.3% to 8.5% (OR 0.31; 95% CI 0.23 to 0.4) (p<0.001).\r\n\r\nConclusions: A multi-faceted intervention to change the practice of the use of sleep-inducing drugs in one hospital was successful in terms of drug reduction, particularly for benzodiazepines. The intervention was effective especially for target persons-that is, those without a psychiatric or neurological disease. Awareness of the magnitude of the change and the role of important stakeholders could help researchers and hospital staff to design a large RCT, including control hospitals, to evaluate the success of a multi-faceted intervention on a scientifically sound basis."],["dc.description.sponsorship","German Ministry of Health"],["dc.identifier.doi","10.1136/ejhpharm-2021-003097"],["dc.identifier.pmid","35732426"],["dc.identifier.uri","https://resolver.sub.uni-goettingen.de/purl?gro-2/117862"],["dc.identifier.url","https://publications.goettingen-research-online.de/handle/2/112129"],["dc.language.iso","en"],["dc.notes.intern","DOI-Import GROB-581"],["dc.relatedmaterial.fulltext","https://bmjopen.bmj.com/content/bmjopen/6/8/e011908.full.pdf"],["dc.relation","Die Initiative Schlaffreundliches Krankenhaus"],["dc.relation.doi","10.1136/ejhpharm-2021-003097"],["dc.relation.eissn","2047-9964"],["dc.relation.issn","2047-9956"],["dc.relation.orgunit","Institut für Allgemeinmedizin"],["dc.rights.uri","http://creativecommons.org/licenses/by-nc/4.0/"],["dc.subject.gro","benzodiazepines, Z-drugs, hospitalisation, multi-faceted intervention, quality of health care, sleep medicine"],["dc.title","Reducing the use of sleep-inducing drugs during hospitalisation by a multi-faceted intervention: a pilot study"],["dc.type","journal_article"],["dc.type.internalPublication","yes"],["dc.type.subtype","original_ja"],["dc.type.version","published_version"],["dspace.entity.type","Publication"]]

[["dc.bibliographiccitation.journal","Journal of Hospital Infection"],["dc.contributor.author","Mardiko, Amelia A."],["dc.contributor.author","Heinemann, Stephanie"],["dc.contributor.author","Bludau, Anna"],["dc.contributor.author","Kaba, Hani E.J."],["dc.contributor.author","Leha, Andreas"],["dc.contributor.author","von Maltzahn, Nicole"],["dc.contributor.author","Mutters, Nico T."],["dc.contributor.author","Leistner, Rasmus"],["dc.contributor.author","Mattner, Frauke"],["dc.contributor.author","Scheithauer, Simone"],["dc.date.accessioned","2022-06-01T09:40:19Z"],["dc.date.available","2022-06-01T09:40:19Z"],["dc.date.issued","2022"],["dc.identifier.doi","10.1016/j.jhin.2022.05.012"],["dc.identifier.pii","S0195670122001633"],["dc.identifier.uri","https://resolver.sub.uni-goettingen.de/purl?gro-2/108697"],["dc.language.iso","en"],["dc.notes.intern","DOI-Import GROB-572"],["dc.relation.issn","0195-6701"],["dc.title","COVID-19 Vaccination Strategy for Hospital Staff in Germany: A Cross-Sectional Study in March-April 2021"],["dc.type","journal_article"],["dc.type.internalPublication","yes"],["dspace.entity.type","Publication"]]

[["dc.bibliographiccitation.journal","European Journal of Public Health"],["dc.bibliographiccitation.volume","26"],["dc.contributor.author","Weiss, Vivien"],["dc.contributor.author","Heinemann, Stephanie"],["dc.contributor.author","Nau, R."],["dc.contributor.author","Himmel, Wolfgang"],["dc.date.accessioned","2018-11-07T10:05:55Z"],["dc.date.available","2018-11-07T10:05:55Z"],["dc.date.issued","2016"],["dc.format.extent","198"],["dc.identifier.isi","000398600402055"],["dc.identifier.uri","https://resolver.sub.uni-goettingen.de/purl?gro-2/38999"],["dc.notes.status","zu prüfen"],["dc.notes.submitter","Najko"],["dc.publisher","Oxford Univ Press"],["dc.publisher.place","Oxford"],["dc.relation.issn","1464-360X"],["dc.relation.issn","1101-1262"],["dc.title","Prescribing of hypnotics and sedatives between secondary and primary care"],["dc.type","conference_abstract"],["dc.type.internalPublication","yes"],["dc.type.peerReviewed","yes"],["dc.type.status","published"],["dspace.entity.type","Publication"]]

[["dc.bibliographiccitation.journal","Journal of Hospital Infection"],["dc.contributor.author","Bludau, Anna"],["dc.contributor.author","Heinemann, Stephanie"],["dc.contributor.author","Mardiko, Amelia A."],["dc.contributor.author","Kaba, Hani E.J."],["dc.contributor.author","Leha, Andreas"],["dc.contributor.author","von Maltzahn, Nicole"],["dc.contributor.author","Mutters, Nico T."],["dc.contributor.author","Leistner, Rasmus"],["dc.contributor.author","Mattner, Frauke"],["dc.contributor.author","Scheithauer, Simone"],["dc.date.accessioned","2022-05-02T08:09:54Z"],["dc.date.available","2022-05-02T08:09:54Z"],["dc.date.issued","2022"],["dc.identifier.doi","10.1016/j.jhin.2022.03.014"],["dc.identifier.pii","S0195670122001025"],["dc.identifier.uri","https://resolver.sub.uni-goettingen.de/purl?gro-2/107504"],["dc.language.iso","en"],["dc.notes.intern","DOI Import GROB-561"],["dc.relation.issn","0195-6701"],["dc.title","Infection control strategies for patients and accompanying persons during the COVID-19 pandemic in German hospitals – Results from a cross-sectional study in March-April 2021"],["dc.type","journal_article"],["dc.type.internalPublication","yes"],["dspace.entity.type","Publication"]]

[["dc.bibliographiccitation.firstpage","88"],["dc.bibliographiccitation.issue","1"],["dc.bibliographiccitation.journal","Social Policy and Administration"],["dc.bibliographiccitation.lastpage","108"],["dc.bibliographiccitation.volume","49"],["dc.contributor.author","Leiber, Simone"],["dc.contributor.author","Greß, Stefan"],["dc.contributor.author","Heinemann, Stephanie"],["dc.date.accessioned","2021-08-26T14:00:13Z"],["dc.date.available","2021-08-26T14:00:13Z"],["dc.date.issued","2015"],["dc.identifier.doi","10.1111/spol.12078"],["dc.identifier.uri","https://resolver.sub.uni-goettingen.de/purl?gro-2/88845"],["dc.relation.issn","0144-5596"],["dc.rights","CC BY 4.0"],["dc.title","Explaining Different Paths in Social Health Insurance Countries - Health System Change and Cross-border Lesson-drawing between Germany, Austria and the Netherlands"],["dc.type","journal_article"],["dc.type.internalPublication","unknown"],["dc.type.subtype","original_ja"],["dspace.entity.type","Publication"]]

[["dc.bibliographiccitation.firstpage","71"],["dc.bibliographiccitation.lastpage","89"],["dc.contributor.author","Greß, Stefan"],["dc.contributor.author","Heinemann, Stephanie"],["dc.contributor.editor","Marchildon, G."],["dc.contributor.editor","Bossert, T. J."],["dc.date.accessioned","2021-09-01T13:48:18Z"],["dc.date.available","2021-09-01T13:48:18Z"],["dc.date.issued","2018"],["dc.identifier.uri","https://resolver.sub.uni-goettingen.de/purl?gro-2/89253"],["dc.publisher","University of Toronto Press"],["dc.publisher.place","Toronto"],["dc.relation.isbn","978-1-4875-2154-7"],["dc.relation.ispartof","Federalism and Decentralization in Health Care"],["dc.relation.orgunit","Institut für Allgemeinmedizin"],["dc.rights","CC BY 4.0"],["dc.title","Germany: The Increasing Centralization of the Health Care Sector"],["dc.type","book_chapter"],["dc.type.internalPublication","yes"],["dspace.entity.type","Publication"]]

[["dc.contributor.author","Blumentritt, Arne"],["dc.contributor.author","Hauswaldt, Johannes"],["dc.contributor.author","Pung, Johannes"],["dc.contributor.author","Heinemann, Stephanie"],["dc.contributor.author","Hummers-Pradier, Eva"],["dc.date.accessioned","2020-10-29T15:25:58Z"],["dc.date.available","2020-10-29T15:25:58Z"],["dc.date.issued","2017"],["dc.identifier.doi","10.3205/17dkvf413"],["dc.identifier.uri","https://resolver.sub.uni-goettingen.de/purl?gro-2/68104"],["dc.relation.conference","16. Deutscher Kongress für Versorgungsforschung"],["dc.relation.eventend","2017-10-06"],["dc.relation.eventlocation","Berlin"],["dc.relation.eventstart","2017-10-04"],["dc.relation.orgunit","Institut für Medizinische Informatik"],["dc.title","Routine Anonymized Data for Advanced Ambulatory Health Services Research, RADAR"],["dc.type","conference_abstract"],["dc.type.internalPublication","yes"],["dspace.entity.type","Publication"]]

[["dc.bibliographiccitation.journal","Bundesgesundheitsblatt - Gesundheitsforschung - Gesundheitsschutz"],["dc.contributor.author","Scheithauer, Simone"],["dc.contributor.author","Bludau, Anna"],["dc.contributor.author","Heinemann, Stephanie"],["dc.contributor.author","Anton, Martina"],["dc.contributor.author","Knolle, Percy"],["dc.date.accessioned","2022-11-01T10:17:33Z"],["dc.date.available","2022-11-01T10:17:33Z"],["dc.date.issued","2022"],["dc.description.abstract","Zusammenfassung\n \n Hintergrund und Ziel\n Zu Beginn der COVID-19-Impfkampagne in Deutschland wurden Beschäftigte in medizinischen Einrichtungen aufgrund des hohen Expositionsrisikos und des Kontakts mit vulnerablen Gruppen priorisiert gegen SARS-CoV‑2 geimpft. Die Krankenhäuser waren angehalten die Impfungen ihrer Beschäftigten möglichst schnell zu organisieren und durchzuführen. Ziel der vorliegenden Arbeit war es, die Impfstrategie für die Mitarbeitenden deutscher Kliniken zu erfassen.\n \n \n Methoden\n In einer Querschnittstudie mit selbstentwickeltem Fragebogen wurden die Leitungen der (Krankenhaus‑)Hygiene aller deutschen Universitätskliniken sowie der Nicht-Universitätskliniken in Niedersachsen und Bayern im März 2021 befragt. Die Daten wurden nach den beiden Versorgungsstufen stratifiziert.\n \n \n Ergebnisse\n 100 von 416 versendeten Fragebögen wurden vollständig ausgefüllt (Universitätsklinik: 33, Nicht-Universitätsklinik: 67). Universitätskliniken berichteten von einer größeren Impfkapazität als Nicht-Universitätskliniken, ein begrenzender Faktor waren die ungewissen Impfstofflieferungen. 89 % der Kliniken planten Informationskampagnen zum Thema Impfung oder hatten diese bereits durchgeführt. 70 % gaben an, keine Antikörpertests bei geimpften Beschäftigten durchführen zu wollen. Eine Nachverfolgung geimpfter Beschäftigter zur Detektion möglicher SARS-CoV-2-Infektionen mittels Erregernachweis durch PCR wurde von 41 % geplant. Im Falle des Nachweises einer SARS-CoV-2-Infektion bei geimpften Beschäftigten hatten 72 % weitere Diagnostik geplant.\n \n \n Diskussion\n Alle Krankenhäuser konnten eine schnelle Umsetzung der COVID-19-Vakzinierung ihrer Beschäftigten erreichen. Zum Zeitpunkt der Befragung gab es große Unsicherheit bezüglich des Umgangs mit Durchbruchsinfektionen und der Notwendigkeit von Auffrischimpfungen."],["dc.description.abstract","Abstract\n \n Background and aim\n At the beginning of the COVID-19 vaccination campaign in Germany, employees in medical facilities were prioritised for vaccination against SARS-CoV‑2 due to the high risk of exposure and contact with vulnerable groups. Hospitals were therefore encouraged to organise and implement the vaccination of their employees as soon as possible. The aim of the study was to record the practice regarding the vaccination strategy for employees in German hospitals.\n \n \n Methods\n In a self-developed cross-sectional study, infection control practitioners of all German university hospitals as well as non-university hospitals in Lower Saxony and Bavaria were surveyed in March 2021. The data were stratified according to the characteristics of university hospitals and non-university hospitals.\n \n \n Results\n Of 416 invitations sent out, 100 questionnaires (university hospitals: 33; non-university hospitals: 67) were completed. University hospitals reported greater vaccination capacity than non-university hospitals, but a limiting factor was uncertain vaccine supply. Vaccination information campaigns were planned or had already been conducted in 89% of clinics. About two-thirds of the respondents (70%) said they did not plan to conduct antibody tests on vaccinated employees. A follow-up of vaccinated employees to detect possible SARS-CoV‑2 infections by PCR was planned by 41% of the respondents. In case of detection of SARS-CoV‑2 infection, 72% of the respondents had planned further diagnostic procedures.\n \n \n Discussion\n All hospitals were able to achieve rapid implementation of COVID-19 vaccination of their employees. At the time of the survey, there was also much uncertainty regarding the management of breakthrough infections as well as the need for booster vaccinations."],["dc.identifier.doi","10.1007/s00103-022-03607-x"],["dc.identifier.pii","3607"],["dc.identifier.uri","https://resolver.sub.uni-goettingen.de/purl?gro-2/116838"],["dc.language.iso","de"],["dc.notes.intern","DOI-Import GROB-605"],["dc.relation.eissn","1437-1588"],["dc.relation.issn","1436-9990"],["dc.rights.uri","https://creativecommons.org/licenses/by/4.0"],["dc.title","COVID-19-Impfstrategien für Beschäftigte deutscher Kliniken: Ergebnisse einer Befragung von Leitungen der (Krankenhaus‑)Hygiene im Rahmen des B-FAST-Projektes"],["dc.title.translated","COVID-19 vaccination strategy for employees of German hospitals: results of a survey of infection control practitioners within the B-FAST project"],["dc.type","journal_article"],["dc.type.internalPublication","yes"],["dspace.entity.type","Publication"]]

[["dc.bibliographiccitation.firstpage","113"],["dc.bibliographiccitation.issue","2"],["dc.bibliographiccitation.journal","Health Policy"],["dc.bibliographiccitation.lastpage","121"],["dc.bibliographiccitation.volume","109"],["dc.contributor.author","Heinemann, Stephanie"],["dc.contributor.author","Leiber, Simone"],["dc.contributor.author","Gress, Stefan"],["dc.date.accessioned","2021-08-26T13:15:51Z"],["dc.date.available","2021-08-26T13:15:51Z"],["dc.date.issued","2013-02"],["dc.description.abstract","In 2006, the Health Insurance Act changed Dutch health insurance by implementing managed competition, whereby the health insurance market is strongly regulated by the government. The aim of the study is to investigate key stakeholders' opinions about effects of recent changes in Dutch healthcare policy, focussing upon three important requirements for successful managed competition: risk-adjustment, consumer choice and instruments for managed care."],["dc.identifier.doi","10.1016/j.healthpol.2012.08.025"],["dc.identifier.pmid","23031431"],["dc.identifier.uri","https://resolver.sub.uni-goettingen.de/purl?gro-2/88823"],["dc.language.iso","en"],["dc.relation.eissn","1872-6054"],["dc.relation.issn","0168-8510"],["dc.rights","CC BY 4.0"],["dc.title","Managed competition in the Netherlands-a qualitative study"],["dc.type","journal_article"],["dc.type.internalPublication","unknown"],["dc.type.subtype","original_ja"],["dspace.entity.type","Publication"]]